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PRAIRIE PODIATRY L.L.C.
NPI 1144349747
Podiatrist in Springfield, IL

Active since March 28, 2007
2070 W ILES AVE, SPRINGFIELD, IL 62704(217) 698-6228(217) 698-7241 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Prairie Podiatry L.l.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRAIRIE PODIATRY L.L.C. (NPI 1144349747) is a healthcare organization registered as a podiatrist in Springfield, Illinois and active in the NPI registry since March 2007. The organization lists John Andrew Shoudel, Owner, as its authorized official.

NPPES Registry Identity

NPI1144349747
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NamePRAIRIE PODIATRY L.L.C.
Location Address2070 W ILES AVESpringfield, IL 62704-4174
Mailing Address2070 W Iles AveSpringfield, IL 62704-4174 · (217) 698-6228 · Fax (217) 698-7241
Phone(217) 698-6228
Fax(217) 698-7241
Organization SubpartNo
Authorized OfficialJohn Andrew ShoudelOwner · (217) 698-6228
Enumeration DateMarch 28, 2007
Last NPPES UpdateFebruary 22, 2022
NPPES CertifiedFebruary 22, 2022
✔ NPI 1144349747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in IL · 016004443
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
2070 W ILES AVE, Springfield, IL 62704
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Other Identifiers 1

Other60101308IL · Blue Cross

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prairie Podiatry L.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Prairie Podiatry L.L.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Richard Brown, D.P.M.
Podiatry
NPI 1275531188
2070 W ILES AVE
Springfield, IL 62704
(217) 698-6228
✔ PECOS✔ Accepts MedicareSame address
Joseph Rolens, DPM
Podiatry
NPI 1710329271
1001 CLOCK TOWER DR SUITE A
Springfield, IL 62704
(217) 787-7513
✔ PECOS✔ Accepts Medicare1.6 mi
Thomas Cockayne, DPM
Podiatry
NPI 1063820231
CALIFORNIA AVENUE AT 15TH STREET
Chicago, IL 60608
(773) 542-2000
✔ PECOS✔ Accepts Medicare178 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prairie Podiatry L.L.C.'s NPI number?

The NPI number for Prairie Podiatry L.L.C. is 1144349747. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Prairie Podiatry L.L.C. located?

Prairie Podiatry L.L.C. is located at 2070 W Iles Ave, Springfield, IL 62704. The listed phone number is (217) 698-6228.

What is Prairie Podiatry L.L.C.'s specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Prairie Podiatry L.L.C. enrolled in Medicare?

Yes. Prairie Podiatry L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prairie Podiatry L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Prairie Podiatry L.L.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Prairie Podiatry L.L.C. was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.